|
|
|
|
AN ACT
|
|
relating to the requirements for an insurance adjuster license. |
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
SECTION 1. Section 4101.001(a), Insurance Code, is amended |
|
to read as follows: |
|
(a) In this chapter: |
|
(1) "Adjuster" [, "adjuster"] means a person [an
|
|
individual] who: |
|
(A) [(1)] investigates or adjusts losses on |
|
behalf of an insurer as an independent contractor or as an employee |
|
of: |
|
(i) [(A)] an adjustment bureau; |
|
(ii) [(B)] an association; |
|
(iii) [(C)] a general property and casualty |
|
agent or personal lines property and casualty agent; |
|
(iv) [(D)] an independent contractor; |
|
(v) [(E)] an insurer; or |
|
(vi) [(F)] a managing general agent; |
|
(B) [(2)] supervises the handling of claims; or |
|
(C) [(3)] investigates, adjusts, supervises the |
|
handling of, or settles workers' compensation claims, including |
|
claims arising from services provided through a certified workers' |
|
compensation health care network as authorized under Chapter 1305, |
|
on behalf of an administrator, as defined by Chapter 4151, or on |
|
behalf of an insurance carrier, as defined by Section 401.011, |
|
Labor Code. |
|
(2) "Automated claims adjudication system" means a |
|
computer program designed for the collection, data entry, |
|
calculation, and final resolution of portable consumer electronic |
|
insurance claims that a licensed independent adjuster, a licensed |
|
agent, an officer of a business entity licensed under this chapter, |
|
or a supervised individual uses as described by this chapter. |
|
(3) "Business entity" means a corporation, |
|
association, partnership, limited liability company, limited |
|
liability partnership, or other legal entity. |
|
(4) "Home state," with respect to an adjuster, means: |
|
(A) the state in which the adjuster maintains the |
|
adjuster's principal place of residence or business and is licensed |
|
to act as a resident adjuster; or |
|
(B) if the state of the adjuster's principal |
|
place of residence or business does not license adjusters for the |
|
line of authority sought, a state in which the adjuster is licensed |
|
and in good standing and that is designated by the adjuster as the |
|
adjuster's home state. |
|
(5) "Person" means an individual or business entity. |
|
SECTION 2. Section 4101.002, Insurance Code, is amended by |
|
amending Subsection (a) and adding Subsection (d) to read as |
|
follows: |
|
(a) This chapter does not apply to: |
|
(1) an attorney who: |
|
(A) adjusts insurance losses periodically and |
|
incidentally to the practice of law; and |
|
(B) does not represent that the attorney is an |
|
adjuster; |
|
(2) a salaried employee of an insurer who is not |
|
regularly engaged in the adjustment, investigation, or supervision |
|
of insurance claims; |
|
(3) a person employed only to furnish technical |
|
assistance to a licensed adjuster, including: |
|
(A) an attorney; |
|
(B) an engineer; |
|
(C) an estimator; |
|
(D) a handwriting expert; |
|
(E) a photographer; and |
|
(F) a private detective; |
|
(4) an agent or general agent of an authorized insurer |
|
who processes an undisputed or uncontested loss for the insurer |
|
under a policy issued by the agent or general agent; |
|
(5) a person who performs clerical duties and does not |
|
negotiate with parties to disputed or contested claims; |
|
(6) a person who handles claims arising under life, |
|
accident, and health insurance policies; |
|
(7) a person: |
|
(A) who is employed principally as: |
|
(i) a right-of-way agent; or |
|
(ii) a right-of-way and claims agent; |
|
(B) whose primary responsibility is the |
|
acquisition of easements, leases, permits, or other real property |
|
rights; and |
|
(C) who handles only claims arising out of |
|
operations under those easements, leases, permits, or other |
|
contracts or contractual obligations; |
|
(8) an individual who is employed to investigate |
|
suspected fraudulent insurance claims but who does not adjust |
|
losses or determine claims payments; [or] |
|
(9) a public insurance adjuster licensed under Chapter |
|
4102; or |
|
(10) an individual who: |
|
(A) collects claim information from, or |
|
furnishes claim information to, an insured or claimant and enters |
|
data into an automated claims adjudication system; and |
|
(B) is employed by a licensed independent |
|
adjuster or its affiliate under circumstances in which no more than |
|
25 individuals performing duties described by Paragraph (A) are |
|
supervised by a single licensed independent adjuster or a single |
|
licensed agent. |
|
(d) A licensed agent acting as a supervisor under Subsection |
|
(a)(10) is not required to be licensed as an adjuster. |
|
SECTION 3. Section 4101.053, Insurance Code, is amended by |
|
amending Subsection (a) and adding Subsections (c) and (d) to read |
|
as follows: |
|
(a) To qualify for a license under this chapter, an |
|
individual [applicant] must: |
|
(1) comply with this chapter; |
|
(2) present evidence satisfactory to the department |
|
that the applicant: |
|
(A) is at least 18 years of age; |
|
(B) resides in this state or a state or country |
|
that permits a resident of this state to act as an adjuster in that |
|
state or country; |
|
(C) has complied with all federal laws relating |
|
to employment or the transaction of business in the United States, |
|
if the applicant does not reside in the United States; |
|
(D) is trustworthy; and |
|
(E) has had experience, special education, or |
|
training of sufficient duration and extent regarding the handling |
|
of loss claims under insurance contracts to make the applicant |
|
competent to fulfill the responsibilities of an adjuster; and |
|
(3) pass an examination conducted under this |
|
subchapter or present evidence that the applicant has been exempted |
|
under Section 4101.056. |
|
(c) To qualify for a license under this chapter, a business |
|
entity must: |
|
(1) comply with this chapter; and |
|
(2) present evidence satisfactory to the department |
|
that the applicant: |
|
(A) is eligible to designate this state as its |
|
home state; |
|
(B) is trustworthy; |
|
(C) has designated a licensed adjuster |
|
responsible for the business entity's compliance with the insurance |
|
laws of this state; |
|
(D) has not committed an act that is a ground for |
|
probation, suspension, revocation, or refusal of an adjuster's |
|
license under Section 4101.201; and |
|
(E) has paid the fees prescribed under Section |
|
4101.057. |
|
(d) An individual who is a resident of Canada may not be |
|
licensed under this chapter or designate this state as the |
|
individual's home state unless the individual has successfully |
|
passed the adjuster examination and complied with the other |
|
applicable portions of this section, except that the individual is |
|
not required to comply with Subsection (a)(2)(B) or (C). |
|
SECTION 4. Section 4101.053, Insurance Code, as amended by |
|
this Act, applies only to an application for a license filed on or |
|
after the effective date of this Act. A license application filed |
|
before the effective date of this Act is governed by the law |
|
applicable to the application immediately before the effective date |
|
of this Act, and the former law is continued in effect for that |
|
purpose. |
|
SECTION 5. This Act takes effect September 1, 2011. |
|
|
|
______________________________ |
______________________________ |
|
President of the Senate |
Speaker of the House |
|
|
|
I certify that H.B. No. 2699 was passed by the House on May 5, |
|
2011, by the following vote: Yeas 144, Nays 2, 1 present, not |
|
voting. |
|
|
|
______________________________ |
|
Chief Clerk of the House |
|
|
|
I certify that H.B. No. 2699 was passed by the Senate on May |
|
17, 2011, by the following vote: Yeas 31, Nays 0. |
|
|
|
______________________________ |
|
Secretary of the Senate |
|
APPROVED: _____________________ |
|
Date |
|
|
|
_____________________ |
|
Governor |